Cross-Site Accountability Assessment of the Residential Treatment for Pregnant and Postpartum Women and Their Minor Children Program (PPW)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Attachment F - Ins Cross-Site Accountability Assessment of the Residential Treatment for Prgnant and Postpartum Women and Their Minor Children Program (PPW)	Form and Instruction	Modified	Available
1 PPW supporting statement 8-16-07 v2.doc	Supporting Statement B	Uploaded 2007-09-12	Available
1 PPW Terms Memo 8-9-07.doc	Supplementary Document	Uploaded 2007-09-12	Available
1 PPW supporting statement 8-16-07 v2.doc	Supporting Statement A	Uploaded 2007-09-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7685	Cross-Site Accountability Assessment of the Residential Treatment for Prgnant and Postpartum Women and Their Minor Children Program (PPW)	Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0269	ICR Reference No: 200709-0930-003
Status: Historical Active	Previous ICR Reference No: 200506-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Cross-Site Accountability Assessment of the Residential Treatment for Pregnant and Postpartum Women and Their Minor Children Program (PPW)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/10/2008
	Date Received in OIRA: 09/24/2007
Terms of Clearance: Approved consistent with the revisions outlined in SAMHSA's submission to OMB.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2011	36 Months From Approved	01/31/2008
Responses	28,899	0	1,338
Time Burden (Hours)	9,842	0	335
Cost Burden (Dollars)	0	0	0

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Abstract: The primary purpose of the PPW program is to expand the availability of comprehensive, high quality residential treatment services for pregnant and postpartum women who suffer from alcohol and other drug use problems, and for their infants and minor children impacted by the perinatal and environmental effects of paternal substance use and abuse and other co-occurring disorders.

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Authorizing Statute(s): US Code: 5 USC 508 Name of Law: Residential Treatment Programs for Pregnant and Postpartum Women
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	69 FR 63775	10/31/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 52158	09/12/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Cross-Site Accountability Assessment of the Residential Treatment for Prgnant and Postpartum Women and Their Minor Children Program (PPW)	Attachment F - Instruments	Attachment F - Instruments

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	28,899	1,338	0	27,561	0	0
Annual Time Burden (Hours)	9,842	335	0	9,507	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Currently there are 335 burden hours in the OMB inventory. When preparing this submission it has come to SAMHSA's attention that the hours were incorrectly recorded on the Notice of Action. The burden should have been (5,011 hours). SAMHSA is now requesting (9,842 hours). The increase of (9,507 hours are due to a (4,675 hour) adjustment for the recording error and 4,832 hours of a program change. While the number of women expected to be served decreased, the program change is due to an increase in the expected number of children per woman based on the 2003 cohort; an increase from 2.23 children per mother to 4 children per mother. Therefore, the number of hours children are interviewed increased from 2,174 hours to 2,991 hours and the number of hours women are interviewed about their children increased from 1,160 hours to 4,045 hours. The staff hours increased from 335 hours to 2,401 hours due to the time needed to record medical record audits and discharges. The Family Recovery Support Services Tool, an additional interview time period for the GPRA Client/Participants Outcome Measures and interviews of partners/children's fathers have been added for 508 hours.

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Annual Cost to Federal Government: $1,049,314

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/24/2007

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